Associations of continuity and change in early neighborhood poverty with adult cardiometabolic biomarkers in the United States: Results from the National Longitudinal Study of Adolescent to Adult Health, 1995-2008

Citation

Lippert, Adam M.; Evans, Clare; Rosenfeld; Razak, Fahad; & Subramanian, S. V. (2017). Associations of continuity and change in early neighborhood poverty with adult cardiometabolic biomarkers in the United States: Results from the National Longitudinal Study of Adolescent to Adult Health, 1995-2008. American Journal of Epidemiology. vol. 185 (9) pp. 765-776

Abstract

Limitations of extant research on neighborhood disadvantage and health include general reliance on point-in-time neighborhood measures and sensitivity to residential self-selection. Using data from the US Census and the 1995-2008 National Longitudinal Study of Adolescent to Adult Health, we applied conventional methods and coarsened exact matching to assess how cardiometabolic health varies among those entering, exiting, or remaining in poor and nonpoor neighborhoods. Within the full sample (n = 11,767), we found significantly higher systolic and diastolic blood pressures among those who entered or consistently lived in poor neighborhoods relative to those who never lived in poor neighborhoods. Obesity was similarly more common among those who originated from poor neighborhoods than among those who originated from nonpoor neighborhoods. Having exited poor neighborhoods was associated with lower systolic blood pressure than was consistent residence in low-income communities. Among the matched sample (n = 9,727), results adjusted for confounders and residential self-selection revealed fewer significant contrasts. Compared with peers who had no neighborhood poverty exposure, those who consistently lived in poor neighborhoods had 46% and 52% higher odds of being obese or hypertensive, respectively. Those who exited neighborhood poverty had significantly higher diastolic blood pressures than those who had never lived in poor neighborhoods. These findings underscore the importance of past as well as current residential circumstances for cardiometabolic health.

URL

https://doi.org/10.1093/aje/kww206

Keyword(s)

biomarkers coarsened exact matching neighborhoods transition to adulthood

Reference Type

Journal Article

Journal Title

American Journal of Epidemiology

Author(s)

Lippert, Adam M.
Evans, Clare
Rosenfeld
Razak, Fahad
Subramanian, S. V.

Year Published

2017

Volume Number

185

Issue Number

9

Pages

765-776

Edition

April 3, 2017

DOI

10.1093/aje/kww206

Reference ID

6905